Individual provider Active NPI

Walid Haddad, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1629288782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 10879 Issued in AZ
Practice address
7493 N Oracle Rd
Suite 123
Tucson, AZ 85704-6343
Phone
(520) 797-3292
NPI assigned
May 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 10879 AZ Primary

Addresses

Primary practice location

7493 N Oracle Rd
Suite 123
Tucson, AZ 85704-6343

Mailing address

8851 N Oracle Rd
Suite 89
Oro Valley, AZ 85704-7447
Phone (520) 797-3292

Other identifiers 1

IdentifierTypeStateIssuer
014120OtherAZVALUEOPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204003546 AZ Practitioner - Clinical Social Worker 2062942162 Practice locations: Oro Valley, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Oro Valley, AZ 85704
Phone (520) 797-3292

8851 N Oracle Rd
Apt 89
Tucson, AZ 85704-7451

8851 N Oracle Rd Apt
Suite 89
Oro Valley, AZ 85704-7451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 10879AZMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629288782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 N ORACLE RD",
            "address_2": "SUITE 89",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857047447",
            "telephone_number": "520-797-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7493 N ORACLE RD",
            "address_2": "SUITE 123",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046343",
            "telephone_number": "520-797-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "WALID",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 10879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "014120",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.